Episode 14: Train to Failure

"Amateurs train until they succeed, professionals train until they fail."  -Chris Costa

In this episode, I discuss some lessons that I originally heard presented to military and law enforcement personnel in the setting of defense training.  All of these lessons can be translated to the Emergency Medicine Physician and Resident.  

Episode 13: Issues for Female Physicians in Emergency Medicine

Did you know that female physicians still make less than their male counterparts?  Did you know that women comprise an alarmingly small number of EM department chairs?  Tintinalli may have written the book, but female physicians in Emergency Medicine (and medicine in general) still face a number of unique issues.  I talk with Dr. Kathleen Clem, Dr. Stephanie Abbuhl, and Dr. Esther Choo (@choo_ek) to discuss these issues, and what female physicians can do about it.  Check out the show notes below, which are chock full of great references!

Episode 13 Show Notes

Episode 12: US Rants and Ramblings

In this episode, I talk about a few topics that I have wanted to ramble about related to Ultrasound.  How much US is too much for the resident? Can you do "too much" ultrasound?  Is there a role for the FAST exam in stable trauma patients?  Is the US the new stethoscope, and is it just an extension of the physical exam?  Hear what I think.

 

Case Conference: Peritonsillar Abscess.   

What's that you say, Mr. Hot Potatovoice?  In this case conference, we talk about the presentation, diagnosis, and management of PTA in the ED.  Get your ultrasounds out again!

 

Episode 11: Blogs and Podcasts for the New EM Resident

Starting your residency in Emergency Medicine can be daunting, and sometimes there is just too much information to digest.  This is especially true in the world of FOAMed (Free Open Access Medical Education).  With so many blogs, websites, social media resources, and podcasts out there, where is a green EM resident to start?  With the help of the FOAMed community, I try to guide you to the right places to get your feet wet.  

 

Case Conference: Self Reflection

 

One of the ACGME core competencies is "Practice Based Learning and Improvement."  One of the best ways to do this is through patient follow up and self reflection.  In this case conference, I talk about how faollow up and self reflection have helped me, and why every resident should be doing this routinely. 

 

Episode 10: Ultrasound with Matt and Mike

In this episode, I talked Matt and Mike from the Ultrasound Podcast into coming on.  We go through US Fellowships for EM residents, resident US education, and hot button US topics.  Disclaimer: No fruit ninjas were harmed in the making of this episode. 

 

 

Episode 9: Introducing Emergency Board Review!

In this podcast, I'm giving you an introduction to an exciting new FREE online emergency medicine board review resource, www.emergencyboardreview.com.  This was developed by Jon from EMChatter and myself, along with help from across the EM blog/podcast world.  We're here to provide a 100% FREE, high yield resource to help you study for the Inservice, Qualifying and ConCert Emergency Medicine exams. 

 

Episode 8: Critical Care with Weingart and Mallemat

I somehow tricked Scott Weingart and Haney Mallemat into sitting down and talking EM-Critical Care with me.  We go over Critical Care fellowships and answer your questions about EM/CC.  Should all residencies be four years?  Where do the experts see our specialty in 10 years?  Should we abandon the landmark technique for central line placement?  What about video versus direct laryngoscopy?  A ton of great stuff in just an hour of your time.

 

Episode 7: Airway Tips and Tricks I

Tom Kehrl and I talk practical tips and tricks when it comes to emergency airway management.  By no means comprehensive, we go through the finer points of intubation we found between two residencies, two fellowships, and supervising resident intubations.  check out all the links in the show notes.

 

 

Episode 6: RUSH Part 3 - The Tank

You get it by now.  You're taking care of a crashing patient.  Finish up your RUSH exam by making sure the tank is full.  The final episode of the 3 part RUSH series.

 

Episode 5: RUSH Part 2: The Pump

Your patient is crashing...again.  In part 2 of our 3 part series on the RUSH exam, we talk about the pump, or the cardiac portion of the RUSH exam.

 

Episode 4: RUSH Part 1-Intro and The Pipes

Your patient is crashing, and you don't know why.  It could be hypovolemia, cardiogenic shock, PE, tamponade.  How do you make your way through this diagnostic dilemma? Grab the ultrasound machine and see for yourself!  In this first of three podcasts on the RUSH exam, Dr. Tom Kehrl gives you an intro to the exam, and Dr. Dan Kaminstein talks about the evaluation of "The Pipes."

 

Case Conference: Submassive PE

It's no mystery, this patient has a PE.  But the real question is, how do you treat it?  Anticoagulation alone?  Do you give lytics?  We go through the evidence and discuss why you should be strongly considering lytics in your patients with submassive PE.

 

Case Conference: Chest Pain and the Early EKG

In this case conference, we look into the difference between EKG findings of early repolarization and STEMI, and find out why repeating EKG's is so important. 

 

Episode 3: Vertigo

"I'm dizzy."  CC: dizziness.  We all LOVE to hear and read that.  I know.  I do too.  But this is an important problem and chief complaint to deal with, and you can get burned easily.  Weak and dizzy expert Dan Kaminstein talks you through the evaluation of Vertigo.

 

 

Case Conference: Flank Pain 

So it's a kidney stone is it?  Well maybe it is...or isn't.  Probably not, since I'm talking about it.  We talk about the differential diagnosis of flankpain, how to take your history and physical, and the importance of avoiding anchoring. 

Episode 2: Resident Research

In episode 2, I talk with Dr. Erik Kochert to answer the age old question of why residents have to do research.  Trust me, it's not just to hurt you.  There's a method to the madness, and Dr. Kochert explains it all.

 

The EM Res Podcast: Episode 1

In Episode 1, we talk about secrets to success for our new interns and our recent graduates.  We also talk about The basics you need to read articles and understand what is meant by sensitivity, specificity, PPV and NPV.  Finally, a brief discussion of clinical decision rules.  Everyone loves to pimp about them, but be leery of them as well!